Active NPI
Jackie M Hinzman, PA- C
- Medical Physician Assistant
- Lincoln, NE
National Provider Identifier
1922073618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1214
- Practice address
- 300 N 44TH St Ste 102
Lincoln, NE 68503-3415 - Phone
- (402) 946-0001
- Fax
- (402) 423-0397
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 138819 | IA | |
| Medical Physician Assistant | 363AM0700X | 1214 | NE | Primary |
| Surgical Physician Assistant | 363AS0400X | 1214 | NE |
Addresses
Primary practice location
300 N 44TH St Ste 102
Lincoln, NE 68503-3415
Mailing address
3901 W Springview Rd
Lincoln, NE 68522-8742
Phone (402) 419-1500
Other practice location 1
1300 37th St Ste 1
West Des Moines, IA 50266-1900
Phone (402) 419-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91177983268510A018 | Other | NE | TRI CARE |
| 247113 | Other | NE | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart & Health Solutions PC | Past | Accepting new patients | |
| Nebraska Orthopaedic Center PC | Medical | Past | Accepting new patients |
| LMMC Lincoln, LLC | Past | Accepting new patients | |
| The Express Clinic, LLC | Past | Accepting new patients | |
| Nebraska Heart Institute PC | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1871651406
-
- General Practice Physician
- Lincoln, NE
- NPI 1194202358
-
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1336125202
-
- Clinic/Center
- Lincoln, NE
- NPI 1831252121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1922073618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 W SPRINGVIEW RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685228742",
"telephone_number": "402-419-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 44TH ST STE 102",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685033415",
"telephone_number": "402-946-0001",
"fax_number": "402-423-0397"
}
],
"practiceLocations": [
{
"address_1": "1300 37th St Ste 1",
"address_purpose": "LOCATION",
"city": "West Des Moines",
"state": "IA",
"postal_code": "502661900",
"country_code": "US",
"telephone_number": "402-419-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINZMAN",
"first_name": "JACKIE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PA- C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "138819",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "1214",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NE",
"license": "1214",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI CARE",
"identifier": "91177983268510A018",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "247113",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.